Individual
DEANNA MARSHALL
Active
Individual
DEANNA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0428612
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104147
BLUE CROSS
KS
Enumeration date
01/31/2006
Last updated
02/17/2021
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